| Ne Physician Services Inc | |
|
10400 Roosevelt Blvd Philadelphia PA 19116-3905 | |
| (215) 333-6888 | |
| Not Available |
| Full Name | Ne Physician Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10400 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Diane Depman (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2153336888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ne Physician Services Inc 3542 Welsh Rd Philadelphia PA 19136-2623 Ph: () - | Ne Physician Services Inc 10400 Roosevelt Blvd Philadelphia PA 19116-3905 Ph: (215) 333-6888 |
| NPI Number | 1043487473 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043487473 | NPI | - | NPPES |
| 0097905013 | Other | PA | INDEPENDENCE BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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